AHA PALS Exam Newest Actual Exam With Complete 230
Questions And Correct Detailed Answers (Verified Answers)
|Already Graded A+
You are caring for a child who was resuscitated after a drowning event.
The child is intubated and ventilated with 100% oxygen with equal
breath sounds and exhaled CO₂ detected. The heart rate is slow and the
monitor shows sinus bradycardia. The skin is cool, mottled, and moist;
distal pulses are not palpable and the central pulses are weak.
Intravenous access has been established. The core temperature is 37.3°C.
Based on the PALS bradycardia algorithm, which of the following
should be provided first?
- Epinephrine IV
- Transcutaneous pacing
- Atropine IV
- Dobutamine IV infusion - ANSWER-Epinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia
(heart rate = 220/min). The child is lethargic. The skin is pale and cool
with delayed capillary refill. Distal pulses are not palpable. Which of the
following would be the best treatment to provide without delay?
- Place cold packs on the distal upper and lower extremities
- Ask the child to blow through a small straw
- Exert light pressure on the eyes bilaterally
- Provide synchronized cardioversion at 0.5 to 1 J/kg - ANSWER-
Provide synchronized cardioversion at 0.5 to 1 J/kg
You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine that
the child's respirations are adequate and SpO2 is 100%. You have just
established vascular access and obtained blood samples. Which of the
,following is the next most appropriate therapy to support systemic
perfusion?
- Administer repeated fluid boluses of isotonic colloid
- Administer repeated fluid boluses of isotonic crystalloid
- Begin immediate dopamine infusion
- Begin immediate dobutamine infusion - ANSWER-Administer
repeated fluid boluses of isotonic crystalloid
You are treating an 8-year-old with ventricular tachycardia with pulses
and adequate perfusion. You attempted synchronized cardioversion
without success. While seeking expert consultation, it would be most
appropriate to:
- Administer a loading dose of milrinone
- Consider possible metabolic and toxicologic causes
- Initiate overdrive pacing transcutaneously
- Deliver an unsynchronized shock - ANSWER-Consider possible
metabolic and toxicologic causes
You are caring for a 2-year-old unconscious patient who is intubated and
receiving mechanical ventilation. The child's heart rate suddenly drops
to 40/min and his color becomes mottled. You should respond to these
changes by:
- Increasing the ventilator rate
- Increasing tidal volume
- Increasing positive end-expiratory pressure (PEEP)
- Using a resuscitation bag provide manual ventilation with 100%
oxygen - ANSWER-Using a resuscitation bag provide manual
ventilation with 100% oxygen
You are caring for a 9-month-old patient with pronounced respiratory
distress. You initiated high-flow oxygen using a nonrebreathing mask
about 10 minutes ago and established intravenous access. Initially the
, infant's heart rate was in the 150/min range with strong pulses. Suddenly
the infant's respiratory rate falls to 6/min with significant intercostals
retractions, and little air movement is heard. The infant becomes
cyanotic and the heart rate decreases to 95/min. Which of the following
treatments would be best for you to provide now?
- Administer epinephrine IV
- Provide bag-mask ventilation
- Administer magnesium sulfate IV
- Intubate and ventilate - ANSWER-Provide bag-mask ventilation
Which of the following is likely to be the most helpful technique to
identify potentially reversible metabolic and toxic causes during the
attempted resuscitation of a young child in cardiac arrest?
- Obtaining a urine sample for toxicology screen
- Obtaining chest and abdominal radiographs
- Soliciting a history from the caregiver or family
- Obtaining a venous blood gas - ANSWER-Soliciting a history from the
caregiver or family
You are caring for a patient who developed a tension pneumothorax
after several hours of positive-pressure ventilation. Which of the
following would be the most appropriate site for needle decompression?
- Over the third rib at the midclavicular line
- Under the eighth rib at the midaxillary line
- Over the fifth rib at the sternal border
- Under the sixth rib at the midclavicular line - ANSWER-Over the third
rib at the midclavicular line
You attempted synchronized cardioversion for an infant with
supraventricular tachycardia (SVT) and poor perfusion. The SVT
persists after the initial 1 J/kg shock. Which of the following should you
attempt now?
Questions And Correct Detailed Answers (Verified Answers)
|Already Graded A+
You are caring for a child who was resuscitated after a drowning event.
The child is intubated and ventilated with 100% oxygen with equal
breath sounds and exhaled CO₂ detected. The heart rate is slow and the
monitor shows sinus bradycardia. The skin is cool, mottled, and moist;
distal pulses are not palpable and the central pulses are weak.
Intravenous access has been established. The core temperature is 37.3°C.
Based on the PALS bradycardia algorithm, which of the following
should be provided first?
- Epinephrine IV
- Transcutaneous pacing
- Atropine IV
- Dobutamine IV infusion - ANSWER-Epinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia
(heart rate = 220/min). The child is lethargic. The skin is pale and cool
with delayed capillary refill. Distal pulses are not palpable. Which of the
following would be the best treatment to provide without delay?
- Place cold packs on the distal upper and lower extremities
- Ask the child to blow through a small straw
- Exert light pressure on the eyes bilaterally
- Provide synchronized cardioversion at 0.5 to 1 J/kg - ANSWER-
Provide synchronized cardioversion at 0.5 to 1 J/kg
You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine that
the child's respirations are adequate and SpO2 is 100%. You have just
established vascular access and obtained blood samples. Which of the
,following is the next most appropriate therapy to support systemic
perfusion?
- Administer repeated fluid boluses of isotonic colloid
- Administer repeated fluid boluses of isotonic crystalloid
- Begin immediate dopamine infusion
- Begin immediate dobutamine infusion - ANSWER-Administer
repeated fluid boluses of isotonic crystalloid
You are treating an 8-year-old with ventricular tachycardia with pulses
and adequate perfusion. You attempted synchronized cardioversion
without success. While seeking expert consultation, it would be most
appropriate to:
- Administer a loading dose of milrinone
- Consider possible metabolic and toxicologic causes
- Initiate overdrive pacing transcutaneously
- Deliver an unsynchronized shock - ANSWER-Consider possible
metabolic and toxicologic causes
You are caring for a 2-year-old unconscious patient who is intubated and
receiving mechanical ventilation. The child's heart rate suddenly drops
to 40/min and his color becomes mottled. You should respond to these
changes by:
- Increasing the ventilator rate
- Increasing tidal volume
- Increasing positive end-expiratory pressure (PEEP)
- Using a resuscitation bag provide manual ventilation with 100%
oxygen - ANSWER-Using a resuscitation bag provide manual
ventilation with 100% oxygen
You are caring for a 9-month-old patient with pronounced respiratory
distress. You initiated high-flow oxygen using a nonrebreathing mask
about 10 minutes ago and established intravenous access. Initially the
, infant's heart rate was in the 150/min range with strong pulses. Suddenly
the infant's respiratory rate falls to 6/min with significant intercostals
retractions, and little air movement is heard. The infant becomes
cyanotic and the heart rate decreases to 95/min. Which of the following
treatments would be best for you to provide now?
- Administer epinephrine IV
- Provide bag-mask ventilation
- Administer magnesium sulfate IV
- Intubate and ventilate - ANSWER-Provide bag-mask ventilation
Which of the following is likely to be the most helpful technique to
identify potentially reversible metabolic and toxic causes during the
attempted resuscitation of a young child in cardiac arrest?
- Obtaining a urine sample for toxicology screen
- Obtaining chest and abdominal radiographs
- Soliciting a history from the caregiver or family
- Obtaining a venous blood gas - ANSWER-Soliciting a history from the
caregiver or family
You are caring for a patient who developed a tension pneumothorax
after several hours of positive-pressure ventilation. Which of the
following would be the most appropriate site for needle decompression?
- Over the third rib at the midclavicular line
- Under the eighth rib at the midaxillary line
- Over the fifth rib at the sternal border
- Under the sixth rib at the midclavicular line - ANSWER-Over the third
rib at the midclavicular line
You attempted synchronized cardioversion for an infant with
supraventricular tachycardia (SVT) and poor perfusion. The SVT
persists after the initial 1 J/kg shock. Which of the following should you
attempt now?
